PART 5AGREEMENTS: REQUIRED TERMS

F1Capitated patients14C

1

F2Subject to paragraph (3), where a contractor has elected to enter into a prototype agreement, on any day (“the relevant day”) a patient is a capitated patient if that patient has been provided with a banded course of treatment by the contractor (C1) within a period of three years immediately preceding that day, provided that—

a

the banded course of treatment has not been provided by a foundation trainee;

b

the patient has not been referred to C1 for the banded course of treatment by another primary dental services contractor; and

c

the patient was not subsequently provided with a banded course of treatment before the relevant day by another primary dental services contractor (C2), unless the patient was referred to C2 by C1 for that banded course of treatment.

2

For the purposes of this regulation—

a

a banded course of treatment does not include the provision of an urgent course of treatment; and

b

“foundation trainee” has the meaning given in Section 12 of the General Dental Services Statement of Financial Entitlements 2013 (glossary of terms).

F33

This regulation does not apply where the contractor is a CDS prototype contractor.